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Individual

MICHAELA RENEE GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
34458 CAMINO EL MOLINO, DANA POINT, CA 92624-1071
(808) 268-0935
Mailing address
PO BOX 867, DANA POINT, CA 92629-0867
(808) 268-0935

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
67981
CA

Other

Enumeration date
04/13/2026
Last updated
04/13/2026
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